A.“Chiropractic” means the science,
art and philosophy of things natural, the science of locating and removing
interference with the transmissions or expression of nerve forces in the human
body by the correction of misalignments or subluxations of the articulations
and adjacent structures, more especially those of the vertebral column and
pelvis, for the purpose of restoring and maintaining health for treatment of
human disease primarily by, but not limited to, adjustment and manipulation of
the human structure. It shall include, but not be limited to, the prescription
and administration of all natural agents in all forms to assist in the healing
act, such as food, water, heat, light, cold, electricity, mechanical
appliances, herbs, nutritional supplements, homeopathic remedies and any
necessary diagnostic procedure, excluding invasive procedures, except as
provided by the board by rule and regulation. It shall exclude operative
surgery and prescription or use of controlled or dangerous drugs, except as
provided by the board by rule and regulation.

B.“Certified advanced practice
chiropractic physician” means advanced practice chiropractor who shall have prescriptive authority for therapeutic and
diagnostic purposes as authorized by statute and stated by the board in
16.4.15.11 NMAC.

C.“Chiropractic physician” includes
doctor of chiropractic, chiropractor, doctor of
chiropractic and medicine chiropractic physician and means a person who practices
chiropractic as defined in the Chiropractic Physician Practice Act.
Chiropractors are physicians that attempt to improve the quality of life,
relieve pain and suffering and promote health and wellness with evidence-based
and patient centered care as taught in their chiropractic educational
institutions.The chiropractic
profession, through its institutions, professional associations, continuing
educational providers and requirements teaches its health care professionals to
use natural treatments, therapeutic interventions and patient education to
promote health and wellness when indicated by the evidence and with other
interventions as taught within chiropractic educational institutions and
providers of approved continuing education instruction when necessary to safely
treat individuals with disease, deformity, disability and neuromusculoskeletal
maladies.

D.“Nationally recognized credentialing
agency” means agency that has been recognized by the board and may be updated
annually.Any educational institution
allowed to provide clinical and didactic programs
credited toward advanced practice certification must have concurrent approval
from the New Mexico medical board and the New Mexico board of chiropractic
examiners.

E.“Chiropractic formulary” shall mean
those substances that have been approved for use by the chiropractor registered
in advanced practice by the chiropractic board and as by statute with consensus
between the New Mexico medical board and New Mexico board of pharmacy.

16.4.15.8ADVANCED PRACTICE REGISTRATION
GENERAL PROVISIONS:Advanced practice registration is authorized by 61-4-9.1(C) NMSA of the
act and defined in 61-4-9.2 NMSA 1978 and allows the use of approved substances
through injection for therapeutic purposes.

A.A chiropractic physician shall have
the prescriptive authority to administer through injection and prescribe the
compounding of substances that are authorized in the advanced practice
formulary. Those with active registration are allowed prescription authority
that is limited to the current formulary as agreed on by the New Mexico board
of chiropractic examiners and as by statute, by the New Mexico board of
pharmacy and the New Mexico medical board. The New Mexico board of chiropractic
examiners shall maintain a registry of all chiropractic physicians who are registered
in advanced practice and shall notify the New Mexico board of pharmacy of all
such current registered licensees no later than September 1st of each licensing
period.

B.Chiropractic physicians applying for
registry shall submit to the board:

(1)documentation
that the doctor has successfully completed a competency examination
administered by a nationally recognized credentialing agency or after December
31, 2012 successfully completed a graduate degree in a chiropractic clinical
practice specialty;

(2)documentation that the chiropractic
physician has successfully completed 90 clinical and didactic hours of
education provided by an institution approved by the New Mexico medical board
and the New Mexico board of chiropractic examiners;

(3)an
application provided by the board for registry of the advanced practice
certification.

C.A chiropractic physician without
advanced practice certification may administer, dispense and prescribe any
natural substance that is to be used in an oral or topical manner so long as
that substance is not considered a dangerous drug.

D.The board shall annually renew the
registration of a doctor of chiropractic medicine in good standing who is
registered in advanced practice if the licensee has completed all continuing
education required by 16.4.10 NMAC.

(1)is placed permissive
temporary cancellation as stated in Paragraph (2) of Subsection A of 16.4.12.8
NMAC; or

(2)expires as
stated in 16.4.13.8 NMAC; or

(3)is
suspended, revoked or terminated for any reason as stated in 16.4.13.8 NMAC;

(4)is not
renewed prior to the annual renewal date (July 1).

F.An advanced practice registration
that is revoked or terminated shall not be reinstated. The chiropractic
physician must reapply for expanded practice certification as a new applicant.

G.All advanced practice registrations
that were automatically terminated due to inactive status, expiration or
suspension as stated in 16.4.13.8 NMAC shall be automatically reinstated when
licensure as a chiropractic physician is reinstated, provided that:

(1)all fees
required by 16.4.1.13 NMAC have been paid; and

(2)all
continuing education requirements stated in Subsection C of 16.4.15.10 NMAC
have been completed; and

(3)any other
reinstatement provisions, required by board rule, have been completed.

H.Each year the board may review the
advanced practice formularies for necessary amendments. When new substances are
added to a formulary, appropriate education in the use of the new substances
may be approved and required by the board for chiropractic physician applying
for registration or as continuing education for renewal of the applicable advanced
practice registration. All amendments to the formulary shall be made following
consensus of the NM board of medicine, NM pharmacy board and the NM board of
chiropractic examiners.

I.A chiropractic physician certified
for advanced practice under 16.4.15.11 NMAC that includes the use of controlled
substances shall register with the federal DEA (drug enforcement agency) prior
to obtaining, prescribing, administering, compounding the controlled substance.

J.A chiropractic physician registered
in advanced practice, when prescribing, shall use prescription pads printed
with his or her name, address, telephone number, license number and his or her
advanced practice certification. If a chiropractic physician is using a
prescription pad printed with the names of more than one chiropractic physician
the above information for each chiropractic physician shall be on the pad and
the pad shall have a separate signature line for each chiropractic physician.
Each specific prescription shall indicate the name of the chiropractic
physician for that prescription and shall be signed by the prescribing
chiropractic physician.

A.The board shall have final authority
for registration of all applicants.

B.The board shall notify the applicant
in writing by mail postmarked no more than thirty (30) days after the receipt
of the initial application as to whether the application is complete or
incomplete and missing specified application documentation.

C.The board shall notify the applicant
in writing by mail postmarked no more than thirty (30) days after the notice of
receipt of the complete application sent out by the board, whether the application
is approved or denied.

D.If the application is denied, the
notice of denial shall state the reason the application was denied.

E.In the interim between regular board
meetings the board’s chairman or an authorized representative of the board may
certify a chiropractic physician into the advanced practice registry to an
applicant who has filed with the board a complete application and complied with
all requirements for advanced practice registration.

F.The board shall have the authority
to deny, suspend, revoke or otherwise discipline an expanded practice
certification, in accordance with the Uniform Licensing Act, 61-1-1 to 61-1-31
NMSA 1978, for reasons authorized in the act and clarified in Paragraph (24) of
Subsection B of 16.4.8.10 NMAC.

[16.4.15.9 NMAC - N, 3/31/2009]

16.4.15.10FEES, RENEWAL and CONTINUING
EDUCATION:

A.A fee of $100 shall accompany the
initial application. When that application is approved a fee of $100 shall be
submitted for registry of the advanced practice certification.

B.A fee of $100 shall be assessed for
all renewal applications, in addition to the standard fee for renewal of the
chiropractic license.

C.Chiropractic physicians seeking
renewal of advanced practice certification registration shall have completed 10
hours of continuing education, in addition to the required number of CE hours
for the general chiropractic licensure, from an approved institution as stated
in 16.4.15.8 NMAC or approved by submission to the board for CE credited as
stated in 16.4.15.8 NMAC. The education should include pharmacology,
toxicology, medication administration or pharmacognosy
appropriate to the current formulary and procedures authorized to be performed by
the advanced practice chiropractic certification.